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Jordan Southern
Urology Physician in Lewisburg, Pennsylvania
NPI 1730575879

Jordan Southern is a Urology Physician based in Danville, PA. Jordan Southern practices in Lewisburg, PA. The NPI Number for Jordan Southern is 1730575879 and holds a License No. (Pennsylvania).

The current practice location address for Jordan Southern is 3 Hospital Dr, Lewisburg, PA and can be reached out via phone at 570-523-3900.

Location: 3 Hospital Dr, Lewisburg, PA, 17822-4903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730575879
Provider Name
Jordan Southern
Credential
Provider Entity Type
Individual
Gender
Male
Address
3 Hospital Dr, Lewisburg, PA, 17822-4903
Phone Number
570-523-3900
Fax Number
Provider Enumeration Date
04/14/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3 Hospital Dr
City
Lewisburg
State
Pennsylvania
Zip
17837-9362
Phone Number
570-523-3900
Fax Number
person
Provider Business Mailing Address Details
Address
3 Hospital Dr
City
Lewisburg
State
Pennsylvania
Zip
17837-9362
Phone Number
570-523-3900
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
MD471223 (Pennsylvania)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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